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pmid32437097      Evidence+review+for+tinnitus+support:+Tinnitus:+assessment+and+management:++Evidence+review+A-/-NICE+Evidence+Reviews+Collection 2020 ; ä (ä): ä
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  • Evidence review for tinnitus support: Tinnitus: assessment and management: Evidence review A #MMPMID32437097
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  • Evidence review for tinnitus support: Tinnitus: assessment and management: Evidence review A-/-NICE Evidence Reviews Collection 2020[Mar]; ä (ä): ä PMID32437097show ga
  • People with tinnitus who seek help often do so because the tinnitus is causing some level of distress or because they believe it may be a symptom of some underlying serious disease. Support may include reassurance and tinnitus counselling. Tinnitus counselling, however, means many things to many people. Clinicians, as well as people with tinnitus, have differing perceptions about the meaning of the term. Currently, 'tinnitus counselling' may be used to describe a brief information-giving session or a series of sessions facilitated by a psychologist, or anything in between. For the purpose of this guideline, the term 'tinnitus support' is favoured over 'tinnitus counselling' and is defined as an interactive process between the individual with tinnitus and healthcare professional. Within this, the concerns and needs of the individual are identified and explored, including difficulties associated with tinnitus and the individual's understanding of the emotions related to tinnitus. As part of this process, delivery of information about tinnitus involves a two-way discussion promoting an understanding of the tinnitus. Then, a management plan can be developed that is tailored to the individual. The individual is supported to understand why suggested strategies may be helpful and how they can go about putting these in to place. As the tinnitus support is individually focused, consideration is made with regard to the needs, age and ability of the individual to ensure that all information is made accessible to them. Where other needs are identified, for example mental health needs, the person with tinnitus may also benefit from being to be referred to other relevant services. The provision of tinnitus support, in-line with the description above, is variable across the country. The purpose of this review is to identify whether tinnitus support and other strategies commonly used in or defined as 'tinnitus counselling' (including relaxation, education and advice) are clinically and cost effective and which is the best form of tinnitus support.
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